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314 M. L. King Way Suite #206 Tacoma WA 98405 | |
(253) 383-3713 | |
(253) 383-0874 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 314 M. L. King Way, Tacoma, Washington |
Authorized Official Name and Position | Mostafa Norooz (CEO) |
Authorized Official Contact | 2533833713 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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314 M. L. King Way Suite #206 Tacoma WA 98405 Ph: (253) 383-3713 | 314 M. L. King Way Suite #206 Tacoma WA 98405 Ph: (253) 383-3713 |
NPI Number | 1609099464 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 02/07/2008 |
Identifier | Type | State | Issuer |
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1609099464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DE07466 (Washington) | Primary |
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